Aryielle Funderburk

NPI #1336769439 in Waldorf, Maryland

Provider Information

NPI Number: 1336769439
Entity Type: Individual
Name: Aryielle Funderburk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 20, 2020
Last Updated: Apr 20, 2020

Practice Location

Address: 12103 BRACKENRIDGE CT
City: Waldorf
State: Maryland
ZIP Code: 20602-3166
Phone: (301) 549-0861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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